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Coil Embolization for Right Ventricular Pseudoaneurysm

2024; Elsevier BV; Volume: 30; Issue: 1 Linguagem: Inglês

10.1016/j.jaccas.2024.102734

2666-0849

Jhonathan Uribe, Daniela Leocachin, Edson Amaro, Barriales Alvarez, Edgar A. Jaimes, Daniel Campuzano, E Arizmendi, Gretchen R. Chiu, Gela Pimentel, Joel Estrada,

Cardiac Valve Diseases and Treatments

Right ventricular pseudoaneurysms are extremely rare and there is no precise recommendation for their management. We present the case of a successful coil embolization of a right ventricular pseudoaneurysm in a woman with chronic kidney disease due to perinuclear antineutrophil cytoplasmic antibody vasculitis and a history of difficult placement of a hemodialysis catheter. Ventricular pseudoaneurysm is a contained rupture of the ventricular wall that can occur due to several causes. Our case describes a right ventricular pseudoaneurysm after dialysis catheter placement in a patient with vasculitis. Optimal management strategies for pseudoaneurysms remain highly variable, but the primary goal is to reduce the incidence of cardiac rupture. The percutaneous exclusion of this type of lesion is an innovative technique that can be considered in high-risk surgical patients.